A Not So Benign Abdomen!

Lean NAFLD: A not so benign condition?

Nonalcoholic fatty liver disease (NAFLD) is a worldwide epidemic with global prevalence estimated at 25%. Although NAFLD is usually associated with obesity, patients who are not obese can also present with NAFLD; this is known as “lean NAFLD.” Lean NAFLD is defined as NAFLD that develops in patients with a body mass index (BMI) <25 kg/m. The prevalence of lean NAFLD varies from 7% in the United...

MGUS: not so benign after all.

I t is well appreciated that persons with multiple myeloma have an increased risk of venous thrombosis. More recently, this relative risk has been shown to be increased further in these patients while on therapy with thalidomide and its derivatives. The mechanism of this increased risk for thrombosis has traditionally been attributed to traditional neoplasia risks for thrombosis, such as decrea...

Asymptomatic hyperuricemia: perhaps not so benign?

H. capsulatum: A Not-So-Benign Cause of Pericarditis

The common causes of pericarditis and its course are benign in the majority of cases. Thus, further testing is usually not pursued and treatment for a presumptive viral etiology with nonsteroidal agents and steroids has been an accepted strategy. We present a patient with pericarditis who was unresponsive to first-line therapy and was subsequently found to have necrotizing granulomas of the per...

Altered Mental Status and a Not-So-Benign Rash

Introduction. The authors are presenting a case of Thrombotic Thrombocytopenic Purpura (TTP) that presented with complaints of altered mental status and found to have petechiae. Case Presentation. An 81-year-old female patient presented to the Emergency Department (ED) of a tertiary care hospital with chief complains of dizziness, slurred speech, and weakness. She was found to have lower extrem...